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我院自1959~1980年共收治严重鼻出血患者249例,约占本科同期住院人数的2.3%。本组病例男性172例,女性77例,年令最小者3.5岁,最大者84岁,成人多见,20岁以前,70岁以后较少见。本文对部分鼻出血患者,改进了处理方法,收到良好效果。讨论(一)季节:据病例统计以1—3月最高,77例(30%),10—12月64例(25%)。Holger 报道鼻出血多发生在秋天和冬天。这种现象可能与冬季上呼吸道感染发病率高,气候变化有关。Rosen-vold 等认为在冬季血液凝集时间增加,夏天和秋天则减低。Schmidt 指出毛细血管强度的不同与季节相应。冬季空气湿度减低可能是鼻出血发生率较高的原因。
Our hospital from 1959 to 1980 were admitted to a total of 249 cases of severe epistaxis patients, accounting for 2.3% of the same period undergraduate admission. This group of patients, 172 cases of males, 77 females, the youngest 3.5 years old, the largest 84 years old, more common in adults, 20 years of age before the age of 70 are rare. This article for some patients with epistaxis, improved treatment, received good results. Discussion (a) season: According to the case statistics in January-March was the highest, 77 cases (30%), 10-December 64 cases (25%). Holger reports that nosebleeds occur mostly in autumn and winter. This phenomenon may be related to the high incidence of upper respiratory tract infection in winter and climate change. Rosen-vold et al. Argue that blood clotting time increases in winter and decreases in summer and fall. Schmidt pointed out that the difference in capillary strength corresponds to the season. Reduced winter air humidity may be the reason for the higher incidence of epistaxis.